N-336 Request for Hearing on a Decision in Naturalization Proc

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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary

Review the N-336 form information

Here is a summary of all the information you provided in your request.
Make sure you have provided responses for everything that applies to you before you submit your
request. You can edit your responses by going to each request section using the site navigation.
We also prepared a draft case snapshot with your responses, which you can download below.

 View draft case snapshot (/apply/snapshot/119705/N-336)

Getting Started
Preparer or interpreter
Is someone assisting you with completing this
request?

Yes

Is a preparer assisting you with
completing this request?

Yes

Is an interpreter assisting you with
completing this request?

Yes

Preparer Information
What is your preparer's full name?

Sally Preparer

What is your preparer's business or
organization name?

Preparer LLC

https://qa-my.uscis.dhs.gov/apply/request-for-a-hearing/119705/your-request-summary

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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary

What is your preparer's mailing address?

United States
123 ABC Street
Apt 1
Springfield, VA, 12345

What is your preparer's contact information?
Daytime telephone number

(202) 123-4567

Mobile telephone number

(202) 123-4567

Email address

[email protected]

Interpreter Information
What is your interpreter's full name?

Nina Interpreter

What is your interpreter's business or
organization name?

Interpreter LLC

What language is your interpreter using to
interpret this application for you?

Spanish

What is your interpreter's mailing address?

United States
123 ABC Street
Apt 1
Springfield, VA, 12345

What is your interpreter's contact information?
Daytime telephone number

(202) 123-4567

Mobile telephone number

(202) 123-4567

Email address

[email protected]

https://qa-my.uscis.dhs.gov/apply/request-for-a-hearing/119705/your-request-summary

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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary

About You
About You
What is your current legal name?

John David Smith

Have you used any other names since birth?

Yes

Provide the other names you have used.

Johnny Smith

Your contact information
Mobile telephone number

(234) 987-2984

Daytime telephone number

(234) 987-2984

Evening telephone number

(234) 987-2984

Work telephone number

(234) 987-2984

Email address

[email protected]

What is your current mailing address?

United States
111 MASSACHUSETTS AVE NW
WASHINGTON, DC, 20529-2098

Where do you live now?

United States
111 MASSACHUSETTS AVE NW
WASHINGTON, DC, 20529-2098

Additional information
What is your date of birth?

01/01/1984

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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary

What is your A-Number?

023456789

What is your USCIS Online Account Number?

987654321

Describe yourself
What is your ethnicity?

Not Hispanic or Latino

What is your race?

American Indian or Alaska Native

What is your height?

5'11''

What is your weight?

123

What is the color of your eyes?

Blue

What is the color of your hair?

Brown

Requests for accommodations
Are you requesting an accommodation
because of your disabilities and/or
impairments?

Yes

Your Request
Information about denial
What is the receipt number for your Application
for Naturalization (N-400)?

IOE9873294729

What is the date of the denial notice for your
Application for Naturalization?

01/01/2018

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USCIS - Request for a Hearing on a Decision in Naturalization Proceedings (N-336) - Your Request Summary

Which USCIS office issued the denial notice for
your Application for Naturalization?

Washington District Office

Reason for hearing
Why are you requesting a hearing?

-

Additional Explanation
Additional Explanation
You may provide additional information for
your request

-

Your Evidence
Evidence to Support Your Request
Evidence in support of your request

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(/apply/evidence_uploads/downloa
d/119705/dx0Qikute4KDrnfxvABX_
HHNCIAdHhzXbGQnfvCUX-UctYTwnF0JzMO0yOIOLbxYNV7NHl3Dnj
CyVfxinatyw)

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